Abstract
For the past quarter century, I have had the opportunity to be involved in the training of 145 general surgery chief residents as a member of the surgical faculty at the University of Louisville. I have also been privileged to have served as a director of the American Board of Surgery and to have been a member of the Residency Review Committee for Surgery. With these several perspectives, I will share some thoughts on the state of our general surgical workforce and the training of surgery residents and address what I view as challenges for the next generation in the provision of surgical care.